Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
David Gerard Worth death at Antigonish, Antigonish County on October 20, 1971
Male Death Registration: Year: 1971 number: 6193
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006193
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Worth, David Gerard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 6 14, 1966
10. AGE in Years5 Months4 Days6 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Leo Francis Worth
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Barbara MacDonald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant T.W. Curry for Leo F. Worth
address Ogden
Relationship to deceased Father
21. Place of burial St. Thomas Roman Catholic Cemetery. Salmon River
Date of burial October 24, 1971
22. Undertaker Curry Bros. Funeral Directors Ltd. Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 20, 1971
CAUSE OF DEATH
(a) Severe Laceration of Brain
(b) Blow on head
(c)
other Accident - struck by car
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